The Reduction of Drug-Related Harm

Front Cover
E. C. Buning, E. Drucker, A. Matthews, R. Newcombe, P. A. O'Hare
Routledge, Oct 8, 2013 - Medical - 224 pages
The War on Drugs' has traditionally had total abstinence as its target. The contributors to this book take a new and challenging approach to problem drug use, arguing that abstinence is not the only solution. They believe that existing methods of treatment and control have been inadequate in controlling or improving drug problems and they propose a radical alternative: reducing the harm associated with the use of illicit drugs. International in scope, the book covers a broad range of drugs, and of social and individual problems. The spread of HIV infection, which has been described as a greater threat to individual and public health than drug misuse is also considered. The contributors give an overview of the current theories and practices that have helped to minimise the harmful effects of drugs and describe national and city-level strategies towards drug problems. They also cover the drug policies of several agencies and organisations world-wide, including police, doctors, community groups and local authorities. Concentrating on reducing drug-related harm, this in an important contribtuion to the debate on the future shape of drug control systems. It questions the role and function of existing drug laws and discusses how harm reduction will shape day-to-day work with drug users. Provocative and persuasive, it should be read by all policy-makers and practitioners faced with drugs problems, and will do much to help establish new strategies for dealing with drug use, strategies that minimise rather than exacerbate drug-related harm.

From inside the book

Contents

A conceptual framework for theory practice and research
1
A harm reduction perspective
15
3 The impact of harm reduction drug policy on AIDS prevention in Amsterdam
30
4 Public health and health behaviour in the prevention of HIV infection
39
The development of a controlled availability policy in Australia
49
The final solution?
62
Public health versus prohibition
71
8 Cocaine users perceptions of their health status and the risks of drug use
82
Handy hints for women
128
14 Smack in the Eye
137
15 A harm reduction educational strategy towards Ecstasy
146
16 An empirical study of the relationship between heroin addiction crime and medical treatment
154
17 The role of the police in harm reduction
162
An outreach model for on the spot AIDS prevention among active outoftreatment drug addicts
172
19 The streetcorner agency with shooting room Fixerstuebli
181
A userfriendly approach on a municipal level
186

9 Police policy in Amsterdam
90
An example of the American Harm Maximization Program
95
Harm minimization is distinct from legalization
108
12 Selfinjection education for street level sexworkers
122
Facts myths and their role in harm reduction strategy
195
Name index
202
Subject index
205
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About the author (2013)

Buning, E. C.; Drucker, E.; Matthews, A.; Newcombe, R.; O'Hare, P. A.